Provider Demographics
NPI:1114227352
Name:PINKERTON, ROLFFS S (PHD)
Entity Type:Individual
Prefix:
First Name:ROLFFS
Middle Name:S
Last Name:PINKERTON
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1403 WILDWOOD DR
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-3026
Mailing Address - Country:US
Mailing Address - Phone:919-663-1008
Mailing Address - Fax:919-933-9201
Practice Address - Street 1:1403 WILDWOOD DR
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27517-3026
Practice Address - Country:US
Practice Address - Phone:919-663-1008
Practice Address - Fax:919-933-9201
Is Sole Proprietor?:No
Enumeration Date:2010-10-21
Last Update Date:2010-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0172103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC200001966165OtherNC PRIVLEGE LICENSE